Mikolaj Nowobilski, OD is a medicare enrolled "Optometrist" provider in Mt Pleasant, Wisconsin. His current practice location is
2860 S Green Bay Rd, Mt Pleasant, Wisconsin. You can reach out to his office (for appointments etc.) via phone at
(262) 637-3733.
Mikolaj Nowobilski is licensed to practice in Wisconsin (license number 3923-35) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1285319020.
Healthcare Provider's Profile
| Full Name | Mikolaj Nowobilski |
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| Gender | Male |
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| Speciality | Optometrist |
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| Location | 2860 S Green Bay Rd, Mt Pleasant, Wisconsin |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1285319020
- Provider Enumeration Date: 06/20/2023
- Last Update Date: 06/20/2023
Medicare PECOS Information:
- PECOS PAC ID: 9335500164
- Enrollment ID: I20230726003216
Medical Identifiers
Medical identifiers for Mikolaj Nowobilski such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1285319020 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 152W00000X | Optometrist | 3923-35 (Wisconsin) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mikolaj Nowobilski allows following entities to bill medicare on his behalf.
| Provider Name | Shoptikal Llc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1659937159
PECOS PAC ID: 1456684471
Enrollment ID: O20190606001553 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mikolaj Nowobilski is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Mikolaj Nowobilski, OD
2860 S Green Bay Rd,
Mt Pleasant, WI 53406-4962
Ph: (262) 637-3733 | Mikolaj Nowobilski, OD
2860 S Green Bay Rd,
Mt Pleasant, WI 53406-4962
Ph: (262) 637-3733 |
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